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Deficiency Records for Pottstown Skilled Nursing and Rehabilitation Cente

A list of the most recent deficiencies for Pottstown Skilled Nursing and Rehabilitation Cente. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Pottstown Skilled Nursing and Rehabilitation Cente. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-07-09 2024-09-25 N
Meet other general requirements. Fire Safety 2024-07-09 2024-09-01 N
Use approved construction type or materials. Fire Safety 2024-07-09 2024-09-01 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-07-09 2024-09-01 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2024-07-09 2024-09-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-07-09 2024-09-01 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2024-07-09 2024-09-01 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-07-09 2024-09-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-07-09 2024-09-01 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-07-09 2024-09-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-07-09 2024-09-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-07-09 2024-09-01 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-06-27 2024-07-26 N
Ensure each resident receives an accurate assessment. Health 2024-06-27 2024-07-26 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-27 2024-07-26 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2024-06-27 2024-07-26 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-06-27 2024-07-26 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-05-15 2023-06-26 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-05-05 2023-06-26 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-05-05 2023-06-26 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-05-05 2023-06-26 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-05-05 2023-06-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-05 2023-06-26 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-05-05 2023-06-26 N
Provide care or services that was trauma informed and/or culturally competent. Health 2023-05-05 2023-06-26 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-05-05 2023-06-26 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2023-05-05 2023-06-26 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-11-16 2022-11-21 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-11-16 2022-11-21 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-19 2022-11-21 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-06-16 2022-08-01 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-06-16 2022-08-01 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2022-06-16 2022-08-01 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2022-06-16 2022-08-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-06-16 2022-08-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-16 2022-08-01 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2022-06-16 2022-08-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-16 2022-08-01 N
Provide enough food/fluids to maintain a resident's health. Health 2022-06-16 2022-08-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-06-16 2022-08-01 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-06-24 2022-08-01 N
Use approved construction type or materials. Fire Safety 2022-06-24 2022-08-01 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2022-06-24 2022-08-01 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-06-24 2022-08-01 N
Provide properly protected cooking facilities. Fire Safety 2022-06-24 2022-08-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-06-24 2022-08-01 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-06-24 2022-08-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-06-24 2022-08-01 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2021-12-21 2022-01-18 Y

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